Trial Outcomes & Findings for A Study of 2 Doses of MAP0010 in Adult Asthmatics (NCT NCT00554970)

NCT ID: NCT00554970

Last Updated: 2014-01-09

Results Overview

The maximum concentration (Cmax) is the highest concentration of a drug measured in the plasma. Plasma is the clear portion of the blood. The Cmax of Budesonide is reported in picograms per milliliter (pg/ml).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

32 participants

Primary outcome timeframe

Day 1 hour 12

Results posted on

2014-01-09

Participant Flow

This is a 4-treatment, 2-period crossover study. Subjects were randomized to receive either Treatments 1 (MAP0010 low dose) and 2 (Pulmicort Respules® 0.25mg) or 3 (MAP0010 high dose) and 4 (Pulmicort Respules® 0.5mg). Subjects were randomized to the following sequences: Tx 1 then Tx 2, Tx 2 then Tx 1, Tx 3 then Tx 4, or Tx 4 then Tx 3

Participant milestones

Participant milestones
Measure
Treatment 1 Then Treatment 2
Subjects received Treatment 1 in period 1 followed by a 7 day washout period and then Treatment 2 in period 2. Treatment 1 was a single dose of MAP0010 low dose delivered by nebulization twice daily for 7 days as per protocol. Treatment 2 was a single dose of Pulmicort Respules® 0.25mg dose delivered by nebulization twice daily for 7 days as per protocol.
Treatment 2 Then Treatment 1
Subjects received Treatment 2 in period 1 followed by a 7 day washout period and then Treatment 1 in period 2. Treatment 1 was a single dose of MAP0010 low dose delivered by nebulization twice daily for 7 days as per protocol. Treatment 2 was a single dose of Pulmicort Respules® 0.25mg dose delivered by nebulization twice daily for 7 days as per protocol.
Treatment 3 Then Treatment 4
Subjects received Treatment 3 in period 1 followed by a 7 day washout period and then Treatment 4 in period 2. Treatment 3 was a single dose of MAP0010 high dose delivered by nebulization twice daily for 7 days as per protocol. Treatment 4 was a single dose of Pulmicort Respules® 0.5mg dose delivered by nebulization twice daily for 7 days as per protocol.
Treatment 4 Then Treatment 3
Subjects received Treatment 4 in period 1 followed by a 7 day washout period and then Treatment 3 in period 2. Treatment 3 was a single dose of MAP0010 high dose delivered by nebulization twice daily for 7 days as per protocol. Treatment 4 was a single dose of Pulmicort Respules® 0.5mg dose delivered by nebulization twice daily for 7 days as per protocol.
Period 1
STARTED
8
8
8
8
Period 1
COMPLETED
7
8
8
8
Period 1
NOT COMPLETED
1
0
0
0
Period 2
STARTED
7
8
8
8
Period 2
COMPLETED
7
8
7
8
Period 2
NOT COMPLETED
0
0
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of 2 Doses of MAP0010 in Adult Asthmatics

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment 1 Then Treatment 2
n=8 Participants
Subjects received Treatment 1 in period 1 followed by a 7 day washout period and then Treatment 2 in period 2. Treatment 1 was a single dose of MAP0010 low dose delivered by nebulization twice daily for 7 days as per protocol. Treatment 2 was a single dose of Pulmicort Respules® 0.25mg dose delivered by nebulization twice daily for 7 days as per protocol.
Treatment 2, Then Treatment 1
n=8 Participants
Subjects received Treatment 2 in period 1 followed by a 7 day washout period and then Treatment 1 in period 2. Treatment 1 was a single dose of MAP0010 low dose delivered by nebulization twice daily for 7 days as per protocol. Treatment 2 was a single dose of Pulmicort Respules® 0.25mg dose delivered by nebulization twice daily for 7 days as per protocol.
Treatment 3 Then Treatment 4
n=8 Participants
Subjects received Treatment 3 in period 1 followed by a 7 day washout period and then Treatment 4 in period 2. Treatment 3 was a single dose of MAP0010 high dose delivered by nebulization twice daily for 7 days as per protocol. Treatment 4 was a single dose of Pulmicort Respules® 0.5mg dose delivered by nebulization twice daily for 7 days as per protocol.
Treatment 4 Then Treatment 3
n=8 Participants
Subjects received Treatment 4 in period 1 followed by a 7 day washout period and then Treatment 3 in period 2. Treatment 3 was a single dose of MAP0010 high dose delivered by nebulization twice daily for 7 days as per protocol. Treatment 4 was a single dose of Pulmicort Respules® 0.5mg dose delivered by nebulization twice daily for 7 days as per protocol.
Total
n=32 Participants
Total of all reporting groups
Age, Continuous
27.4 years
STANDARD_DEVIATION 8.9 • n=5 Participants
30.4 years
STANDARD_DEVIATION 7.2 • n=7 Participants
30.0 years
STANDARD_DEVIATION 8.3 • n=5 Participants
29.1 years
STANDARD_DEVIATION 6.9 • n=4 Participants
29.2 years
STANDARD_DEVIATION 7.6 • n=21 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
6 Participants
n=7 Participants
3 Participants
n=5 Participants
7 Participants
n=4 Participants
19 Participants
n=21 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
1 Participants
n=4 Participants
13 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Day 1 hour 12

Population: Patients with available data at specified time points are included in the analysis population.

The maximum concentration (Cmax) is the highest concentration of a drug measured in the plasma. Plasma is the clear portion of the blood. The Cmax of Budesonide is reported in picograms per milliliter (pg/ml).

Outcome measures

Outcome measures
Measure
MAP0010 High Dose
n=16 Participants
a single dose of MAP0010 high dose delivered by nebulization twice daily for 7 days as per protocol
Pulmicort Respules® 0.50 mg
n=16 Participants
a single dose of Pulmicort Respules® 0.5mg dose delivered by nebulization twice daily for 7 days as per protocol
MAP0010 Low Dose
n=16 Participants
a single dose of MAP0010 low dose delivered by nebulization twice daily for 7 days as per protocol
Pulmicort Respules® 0.25 mg
n=15 Participants
a single dose of Pulmicort Respules® 0.25mg dose delivered by nebulization twice daily for 7 days as per protocol
Cmax of Budesonide on Day 1 After Administration of MAP0010 Low Dose, MAP0010 High Dose, Pulmicort Respules® 0.25mg, and Pulmicort Respules® 0.5mg
250 pg/ml
Standard Deviation 161
365 pg/ml
Standard Deviation 203
168 pg/ml
Standard Deviation 130
197 pg/ml
Standard Deviation 102

PRIMARY outcome

Timeframe: Day 8 hour 12

Population: Patients with available data at specified time points are included in the analysis population.

The maximum concentration (Cmax) is the highest concentration of a drug measured in the plasma. Plasma is the clear portion of the blood. The Cmax of Budesonide is reported in picograms per milliliter (pg/ml).

Outcome measures

Outcome measures
Measure
MAP0010 High Dose
n=16 Participants
a single dose of MAP0010 high dose delivered by nebulization twice daily for 7 days as per protocol
Pulmicort Respules® 0.50 mg
n=15 Participants
a single dose of Pulmicort Respules® 0.5mg dose delivered by nebulization twice daily for 7 days as per protocol
MAP0010 Low Dose
n=16 Participants
a single dose of MAP0010 low dose delivered by nebulization twice daily for 7 days as per protocol
Pulmicort Respules® 0.25 mg
n=15 Participants
a single dose of Pulmicort Respules® 0.25mg dose delivered by nebulization twice daily for 7 days as per protocol
Cmax of Budesonide on Day 8 After Administration of MAP0010 Low Dose, MAP0010 High Dose, Pulmicort Respules® 0.25mg, and Pulmicort Respules® 0.5mg
528 pg/ml
Standard Deviation 257
530 pg/ml
Standard Deviation 334
366 pg/ml
Standard Deviation 262
315 pg/ml
Standard Deviation 206

PRIMARY outcome

Timeframe: Day 1 hour 12

Population: Patients with available data at specified time points are included in the analysis population.

The AUC(0-inf) is the area under the plot of plasma concentration of drug against time after drug administration. Budesonide AUC(0-inf) is reported in picograms times minutes per milliliter (pg\*min/ml).

Outcome measures

Outcome measures
Measure
MAP0010 High Dose
n=14 Participants
a single dose of MAP0010 high dose delivered by nebulization twice daily for 7 days as per protocol
Pulmicort Respules® 0.50 mg
n=15 Participants
a single dose of Pulmicort Respules® 0.5mg dose delivered by nebulization twice daily for 7 days as per protocol
MAP0010 Low Dose
n=16 Participants
a single dose of MAP0010 low dose delivered by nebulization twice daily for 7 days as per protocol
Pulmicort Respules® 0.25 mg
n=13 Participants
a single dose of Pulmicort Respules® 0.25mg dose delivered by nebulization twice daily for 7 days as per protocol
AUC(0-inf) of Budesonide on Day 1 After Administration of MAP0010 Low Dose, MAP0010 High Dose, Pulmicort Respules® 0.25mg, and Pulmicort Respules® 0.5mg
19400 pg*min/ml
Standard Deviation 7280
55900 pg*min/ml
Standard Deviation 19800
10300 pg*min/ml
Standard Deviation 4620
26900 pg*min/ml
Standard Deviation 7420

PRIMARY outcome

Timeframe: Day 8 hour 12

Population: Patients with available data at specified time points are included in the analysis population.

The AUC(0-inf) is the area under the plot of plasma concentration of drug against time after drug administration. Budesonide AUC(0-inf) is reported in picograms times minutes per milliliter (pg\*min/ml).

Outcome measures

Outcome measures
Measure
MAP0010 High Dose
n=14 Participants
a single dose of MAP0010 high dose delivered by nebulization twice daily for 7 days as per protocol
Pulmicort Respules® 0.50 mg
n=14 Participants
a single dose of Pulmicort Respules® 0.5mg dose delivered by nebulization twice daily for 7 days as per protocol
MAP0010 Low Dose
n=16 Participants
a single dose of MAP0010 low dose delivered by nebulization twice daily for 7 days as per protocol
Pulmicort Respules® 0.25 mg
n=14 Participants
a single dose of Pulmicort Respules® 0.25mg dose delivered by nebulization twice daily for 7 days as per protocol
AUC(0-inf) of Budesonide on Day 8 After Administration of MAP0010 Low Dose, MAP0010 High Dose, Pulmicort Respules® 0.25mg, and Pulmicort Respules® 0.5mg
58700 pg*min/ml
Standard Deviation 25700
90100 pg*min/ml
Standard Deviation 38200
35500 pg*min/ml
Standard Deviation 15000
45200 pg*min/ml
Standard Deviation 19500

PRIMARY outcome

Timeframe: Day 1 hour 12

Population: Patients with available data at specified time points are included in the analysis population.

Half-life (t1/2) is the time for the drug to decrease to half of its maximum concentration. Budesonide t1/2 is reported in minutes.

Outcome measures

Outcome measures
Measure
MAP0010 High Dose
n=14 Participants
a single dose of MAP0010 high dose delivered by nebulization twice daily for 7 days as per protocol
Pulmicort Respules® 0.50 mg
n=15 Participants
a single dose of Pulmicort Respules® 0.5mg dose delivered by nebulization twice daily for 7 days as per protocol
MAP0010 Low Dose
n=16 Participants
a single dose of MAP0010 low dose delivered by nebulization twice daily for 7 days as per protocol
Pulmicort Respules® 0.25 mg
n=13 Participants
a single dose of Pulmicort Respules® 0.25mg dose delivered by nebulization twice daily for 7 days as per protocol
Half-life (t1/2) of Budesonide on Day 1 After Administration of MAP0010 Low Dose, MAP0010 High Dose, Pulmicort Respules® 0.25mg, and Pulmicort Respules® 0.5mg
168 min
Standard Deviation 95.7
207 min
Standard Deviation 110
112 min
Standard Deviation 49.0
179 min
Standard Deviation 75.8

PRIMARY outcome

Timeframe: Day 8 hour 12

Population: Patients with available data at specified time points are included in the analysis population.

Half-life (t1/2) is the time for the drug to decrease to half of its maximum concentration. Budesonide t1/2 is reported in minutes.

Outcome measures

Outcome measures
Measure
MAP0010 High Dose
n=14 Participants
a single dose of MAP0010 high dose delivered by nebulization twice daily for 7 days as per protocol
Pulmicort Respules® 0.50 mg
n=14 Participants
a single dose of Pulmicort Respules® 0.5mg dose delivered by nebulization twice daily for 7 days as per protocol
MAP0010 Low Dose
n=16 Participants
a single dose of MAP0010 low dose delivered by nebulization twice daily for 7 days as per protocol
Pulmicort Respules® 0.25 mg
n=14 Participants
a single dose of Pulmicort Respules® 0.25mg dose delivered by nebulization twice daily for 7 days as per protocol
Half-life (t1/2) of Budesonide on Day 8 After Administration of MAP0010 Low Dose, MAP0010 High Dose, Pulmicort Respules® 0.25mg, and Pulmicort Respules® 0.5mg
193 min
Standard Deviation 67.2
192 min
Standard Deviation 66.3
248 min
Standard Deviation 192
230 min
Standard Deviation 130

Adverse Events

Treatment 1 Then Treatment 2

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Treatment 2, Then Treatment 1

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Treatment 3 Then Treatment 4

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Treatment 4 Then Treatment 3

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment 1 Then Treatment 2
n=8 participants at risk
Subjects received Treatment 1 in period 1 followed by a 7 day washout period and then Treatment 2 in period 2. Treatment 1 was a single dose of MAP0010 low dose delivered by nebulization twice daily for 7 days as per protocol. Treatment 2 was a single dose of Pulmicort Respules® 0.25mg dose delivered by nebulization twice daily for 7 days as per protocol.
Treatment 2, Then Treatment 1
n=8 participants at risk
Subjects received Treatment 2 in period 1 followed by a 7 day washout period and then Treatment 1 in period 2. Treatment 1 was a single dose of MAP0010 low dose delivered by nebulization twice daily for 7 days as per protocol. Treatment 2 was a single dose of Pulmicort Respules® 0.25mg dose delivered by nebulization twice daily for 7 days as per protocol.
Treatment 3 Then Treatment 4
n=8 participants at risk
Subjects received Treatment 3 in period 1 followed by a 7 day washout period and then Treatment 4 in period 2. Treatment 3 was a single dose of MAP0010 high dose delivered by nebulization twice daily for 7 days as per protocol. Treatment 4 was a single dose of Pulmicort Respules® 0.5mg dose delivered by nebulization twice daily for 7 days as per protocol.
Treatment 4 Then Treatment 3
n=8 participants at risk
Subjects received Treatment 4 in period 1 followed by a 7 day washout period and then Treatment 3 in period 2. Treatment 3 was a single dose of MAP0010 high dose delivered by nebulization twice daily for 7 days as per protocol. Treatment 4 was a single dose of Pulmicort Respules® 0.5mg dose delivered by nebulization twice daily for 7 days as per protocol.
Blood and lymphatic system disorders
Iron deficiency anaemia
12.5%
1/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
Gastrointestinal disorders
Nausea
12.5%
1/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
Gastrointestinal disorders
Vomiting
12.5%
1/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
12.5%
1/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
General disorders
Malaise
12.5%
1/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
Infections and infestations
Skin infection
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
12.5%
1/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
Infections and infestations
Nasopharyngitis
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
12.5%
1/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
Infections and infestations
Viral infection
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
12.5%
1/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
Nervous system disorders
Headache
12.5%
1/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
12.5%
1/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
Nervous system disorders
Syncope
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
12.5%
1/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
12.5%
1/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
12.5%
1/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
Nervous system disorders
Nasal polyps
12.5%
1/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
Respiratory, thoracic and mediastinal disorders
Throat irritation
12.5%
1/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/8
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.

Additional Information

VP, Scientific Affairs

MAP Pharmaceuticals Inc., a wholly owned subsidiary of Allergan

Phone: 650-386-3100

Results disclosure agreements

  • Principal investigator is a sponsor employee A disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 90 days from the time submitted to the sponsor for review. The sponsor cannot require changes to the communication and cannot extend the embargo.
  • Publication restrictions are in place

Restriction type: OTHER